Papers by Nina Thorvaldsen
Tidsskrift for Den norske legeforening
are associated with low morbidity and mortality rates 5. Intra-arterial digital subtraction angio... more are associated with low morbidity and mortality rates 5. Intra-arterial digital subtraction angiography is the gold standard in the diagnosis of vascular malformations as its high spatial and temporal resolution will offer details of the lesion's architecture. However, the examination is difficult and not without risk, especially in elderly patients who often present atheromatous disease. The invasiveness of the procedure, nephrotoxicity of iodinated contrast media and radiation exposure led to the development of non invasive imaging techniques 6-10 including Contrast-Enhanced MR Angiography (CE-MRA) which has yielded very encouraging results.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2019
Background: A debate regarding the potential harmful effects of rigid neck collar and backboard u... more Background: A debate regarding the potential harmful effects of rigid neck collar and backboard usage among prehospital and hospital care providers in Norway provoked the development of an evidence-based guideline. "The Norwegian guideline for the prehospital management of adult trauma patients with potential spinal injury" was developed with rigorous scientific methods and published in 2016. An e-learning course was developed in parallel. The aim of this study is to explore whether emergency medical services personnel in Norway have implemented the guideline, and to what extent the e-learning course was applied during the implementation process. Method: An electronic survey was distributed individually to registered prehospital personnel in Norway 18 months after publication of the guideline. Results: In all, 938 of 5500 (17%) EMS personnel responded to the survey. More than one-half confirmed knowledge of the guideline; among these, 56% claimed that the guideline was implemented in the service they work. Not having responded to trauma cases in real life was the main reason for not having executed the guideline. The e-learning course had been completed by 18% of respondents. Conclusion: Although the guideline has not been authorized or made compulsory by national authorities, one-half of respondents with knowledge of the guideline reported it as implemented. E-learning did not seem to have affected the implementation. The guideline was developed based on perceived needs among care providers, and this probably facilitated implementation of the guideline.
Questions from the survey. (DOCX 14 kb)
Disaster medicine and public health preparedness, 2021
OBJECTIVE Recent terror attacks led the Norwegian government to develop a procedure for emergency... more OBJECTIVE Recent terror attacks led the Norwegian government to develop a procedure for emergency and law enforcement services cooperation during Active Violent Incidents (AVI, abbreviated PLIVO in Norwegian). To address further national initiatives to improve preparedness for mass casualty events and penetrating injuries among emergency medical services (EMS) in Norway, training and equipment status were mapped. METHODS All EMS regions in Norway were invited to participate in an electronic nation-wide survey about practical medical training in PLIVO scenario training and specific training in hemorrhage control and penetrating injuries. RESULTS Ninety percent (842/938) had attended at least 1 PLIVO training scenario. Of these, 76% (642/938) reported only evacuation training during the exercise, while only 20% (168/938) had practiced hemorrhage control. Eighty-one percent (760/938) respondents reported that they were equipped with tourniquets and 91% (853/938) were equipped with gauz...
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Papers by Nina Thorvaldsen